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I will attach a sample case study for reference. Please follow accordingly INSTRUCTIONS: Write a case study about the given case scenario using the SOAP format. HPI: A 23-year-old Hispanic female presented to the clinic with irregular menstrual cycle and heavy bleeding. Patient denies contraceptive use. Last period was December 27 2020. Last pap smear was June 2019. INSTRUCTIONS: 1. Complete the PATHOPHYSIOLOGY section (about 1.5-2 pages). Write about the pathophysiology of hormone imbalance related to the menstrual cycle- specifically the thyroid and heavy menstrual bleeding/menhorrhagia 2. Next, complete the PLAN section- this should be about 1 page or less and should include 3 differential diagnosis: Write about Polyps/Fibroids causing heavy bleeding during period, Platelet function disorder causing heavy bleeding during period, intrauterine devices. Next, complete the diagnostic section- this should be about 1 page or more and should include the diagnostic tests that are used to diagnose heavy bleeding during menstrual cycle- you can talk about pelvic exam, ultrasound, Pap test, blood test, and endometrial biopsy 4. Next, complete the medical management sections- this should be about 1 page or more and should include management of heavy menstrual bleeding, you can talk about medications and procedures 5. Next, complete the prognosis section- this should be about 0.5 page 6. Next, complete the follow up/referral section- this should be about 0.5 page 7. Next complete the patient education section- this should be about 0.5 page 8. please include all references and cite APA. PLEASE SEE THE SAMPLE!

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